Good Shepherd Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

326973 Issued in MN

Legal business name

GOOD SHEPHERD CARE CENTER INC

Practice address

324 Johnson Pkwy
Saint Paul, MN 55106-6412

Phone

(651) 793-3232

Fax

(651) 774-9641

NPI assigned

Oct 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mary A Roy, LNHA

Title

Administrator Ceo

Phone

(651) 793-3241

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033107412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 JOHNSON PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066412",
            "telephone_number": "651-793-3232",
            "fax_number": "651-774-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 JOHNSON PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066412",
            "telephone_number": "651-793-3232",
            "fax_number": "651-774-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "651-793-3241",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "326973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Lisa Gonzalez, DC, QP
• Susan Gonzalez, CNP
• Violeta Gonzalez
• Xoel Gonzalez, LPCC
• Good Morning Home Care
• Sheila Dianne Good, RDN
• Susan C Goodale, MD
• Elizabeth Diane Goodchild, L.P., L.M.F.T.
• Megan Lynn Goodell
• Molly Goodier, MD

• Skilled Nursing Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.